Center for Kliniske retningslinjer

Præsentationer af emnet: "Center for Kliniske retningslinjer"— Præsentationens transcript:

1 Center for Kliniske retningslinjer
Review typer Palle Larsen MScN, Ph.d., Post.doc Center for Kliniske retningslinjer Aalborg Universitet

2 Archie Cochrane, a famous British epidemiologist,
‘It is surely a great criticism of our profession that we have not organized a critical summary, by specialty or subspecialty, adapted periodically, of noted: all relevant randomized controlled trials.’ The advent of evidence-based practice (EBP) in the early 1990s has seen the role of the health library and information worker in the ascendancy, with clinicians increasingly relying on health care literature in their decision making While it is well established that, in the 18th century, James Lind was the instigator of the first reported RCT, a lesser-known fact records that he was probably the first to describe the systematic review method.

3 Metode I dette arbejde er systematisk søgt litteratur ud fra søge termerne: Different Review types in Evidencebased Health care 1 udvalgt: Grant MJ, Booth A. A typology of reviews: an analysis of 14 review types and associated methodologies. Health Info Libr J Jun;26(2): doi: /j x. Review. PubMed PMID: Dette bygger på 17 forskellige primærstudier (Search, Appraisal, Synthesis and Analysis (SALSA) framework)

4 Review typer

5 Critical Review

6 Literature review

7 Mapping review

8 Meta analysis

9

10

11 Mixed Methods Review

12 Overview

13 Qualitative systematic review

14 Rapid Review

15 Scoping Review

16 Systematic Review

17 Umbrella Review

18 Diagnostic Accuraty Label Descriptiom Search Apraisial Synthesis
Analysis Diagnostic accuraty Diagnostic test accuracy studies compare a diagnostic test of interest (the ‘index test’) to an existing diagnostic test (the ‘reference test’), which is known to be the best test currently available for accurately identifying the presence or absence of the condition of inter diagnostic studies generally use cross-sectional or case-control study designs The process of critical appraisal examines the methodology of a study against pre-defined criteria, with the aim of identify sources of risk of bias and is used to evaluate the extent to which the results of a study should be believed or to be deemed valid after rigorous assessment (Reitsma et al., 2009) Describes how the outcome data of the primary studies will be combined and eported, i.e. meta-analysis, narrative synthesis, graphical representation, Meta-analysis of data from studies of diagnostic test accuracy is more complicated than most other forms of meta-analysis (principally due to the paired nature of the main outcome measures sensitivity/specificity) (JBI 2015)

19 Konklusion Review er en systematisk sammenfatning af eksisterende viden Hovedelementerne I arbejdet med review er: Identifikation af klinisk problemstilling Udarbejdelse af PICO/PICo/PCC, PIRO, etc Systematisk litteratursøgning Kritisk vurdering af litteraturen Sammenfatning af viden baseret på de enkelte artiklers resultater/fund Review er et væsentligt element I EBP, og danner fundamentet for udarbejdelse af kliniske retningslinjer og dermed for den kliniske beslutning

20 Tak for opmærksomheden!